Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $1,304.00 / $5,300.00	Facility		$447.10	$1,304.00	$5,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $397.43 / $680.70	Professional		$247.32	$397.43	$680.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,017.59 / $6,204.03	Facility		$1,918.54	$3,017.59	$6,204.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.36 / $479.63 / $816.50	Professional		$321.36	$479.63	$816.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $461.23 / $750.52	Professional		$301.25	$461.23	$750.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $599.48 / $1,153.59	Professional		$363.02	$599.48	$1,153.59
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.59 / $341.90 / $556.66	Professional		$332.59	$341.90	$556.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $629.45	Professional		$32.34	$32.34	$629.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.51 / $512.14 / $898.47	Professional		$386.51	$512.14	$898.47